Healthcare Provider Details

I. General information

NPI: 1508065319
Provider Name (Legal Business Name): CHRISTOPHER R NEWTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 52ND ST
OAKLAND CA
94609-1810
US

IV. Provider business mailing address

744 52ND ST
OAKLAND CA
94609-1810
US

V. Phone/Fax

Practice location:
  • Phone: 510-428-3022
  • Fax:
Mailing address:
  • Phone: 510-428-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00048270
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD00048270
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD425567
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD425567
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD00048270
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD425567
License Number StatePA
# 7
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberA71180
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: